11 results
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
sedation and/or analgesia ... of sedation and analgesics ... Syndrome #PICS #diagnosis ... #management #criticalcare
Proposed analgesic ladder for critically ill patients
Above is one possible revision to the analgesic ladder.
Proposed analgesic ... revision to the analgesic ... #Management #CriticalCare ... #Pain #Analgesic ... Acetaminophen #Ketamine
Hypotension - Rapid Response Management

1) Ask for vitals en route
2) Immediate Assessment
3) Examine for a cause:
Assessment 3) Examine ... Obstructive 4) Diagnosis ... Hypotension #Management #criticalcare
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
emergencymedicine #criticalcare ... internalmedicine #EM ... #diagnosis #Electrocardiogram
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
indicate inadequate analgesia ... bradycardia • Ketamine ... causes amnesia and analgesia ... Delirium #PAD #ICU #CriticalCare ... #diagnosis #management
A prospective randomized, double-dummy trial comparing IV push low dose ketamine to short infusion of low
push low dose ketamine ... infusion of low dose ketamine ... difference in analgesic ... Slow #Infusion #Ketamine ... Management #Pain #EBM
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Pancreatitis - Diagnosis ... Cystic Fibrosis Diagnosis ... only to clarify diagnosis ... first 24h • Analgesia ... consider pain-dose ketamine
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
and pain-dose ketamine ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
ED Management: Analgesia ... MH/CCF/CWRU EM ... Radiology #XRay #Diagnosis
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
symptom, not a diagnosis ... Hypoactive 3) Examine ... 4) Diagnosis and ... status #Management #criticalcare ... #differential #diagnosis